Operations and services supporting the registration-based Phase II and III clinical trials constitute the majority of our workload at TFS. Experienced clinical research professionals in each country form the base of the study teams, which are dedicated to the clinical trial and therapeutic area. The study teams are capable of delivering quality services ranging from the study outline to the final clinical report submission. A country manager heads clinical operations and provides services on a national level as well as in tandem with other operational units across countries. This allows the units to act as an international study team, working towards common goals. Clinical operations are strategically located in each country, to perform a specific part of the trial as well as the whole clinical development program, for registration-based trials in phase II and III. This operational structure takes into account the need for national-based trials as well as multi-international trials and regulations. Our flexibility results in the best solutions for quality, speed and cost efficiency.